NPIMap

Organization Active NPI

Roy I. Sugasawara, MD, Inc.

  • Urology Physician
  • Camarillo, CA
National Provider Identifier
1134344500
Registry record updated Mar 13, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
G55934 Issued in CA
Legal business name
ROY I. SUGASAWARA, MD, INC.
Practice address
360 Mobil Ave Ste 116
Camarillo, CA 93010-6357
Phone
(805) 484-7967
Fax
(805) 389-0057
NPI assigned
Apr 13, 2007
Last updated
Mar 13, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2015

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Roy Isao Sugasawara, MDNPI 1699774836
Title
President
Phone
(805) 484-7967

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X G55934 CA Primary

Addresses

Primary practice location

360 Mobil Ave Ste 116
Camarillo, CA 93010-6357

Mailing address

360 Mobil Ave
#116
Camarillo, CA 93010-6357
Phone (805) 484-7967

National Provider Directory

National Provider Directory

Locations

360 Mobil Ave
Ste 116
Camarillo, CA 93010
Phone (805) 484-7967

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1176422400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1426204800000",
    "number": "1134344500",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "360 MOBIL AVE",
            "address_2": "#116",
            "city": "CAMARILLO",
            "state": "CA",
            "postal_code": "930106357",
            "telephone_number": "805-484-7967",
            "fax_number": "805-389-0057"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "360 MOBIL AVE STE 116",
            "city": "CAMARILLO",
            "state": "CA",
            "postal_code": "930106357",
            "telephone_number": "805-484-7967",
            "fax_number": "805-389-0057"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROY I. SUGASAWARA, MD, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-13",
        "last_updated": "2015-03-13",
        "status": "A",
        "authorized_official_last_name": "SUGASAWARA",
        "authorized_official_first_name": "ROY",
        "authorized_official_middle_name": "ISAO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "805-484-7967",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "CA",
            "license": "G55934",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Camarillo, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.